DVT and Plastic Surgery

All surgery carries risk of DVT – including plastic surgery. That’s why the American Society of Plastic Surgeons (ASPS) Venous Thromboembolism Task Force established evidence-based practices for DVT prevention. The ASPS endorses the well-established Caprini risk assessment to determine DVT risk because it was validated to stratify plastic surgery patients based on their individual risks. For patients deemed at risk, the ASPS recommends mechanical prophylaxis alone or with anticoagulants, depending on the patient’s bleeding  risk. The length of recommended prophylaxis averaged well beyond discharge to when patients returned home: an average of  7.4 days.

Resources

Evidence-based Practices for Thromboembolism Prevention: A Report from the ASPS Venous Thromboembolism Task Force Approved by ASPS Executive Committee: July 2011, Robert X. Murphy Jr., MD, Task Force Chair DeLaine Schmitz, Sr. Director of Quality Initiatives Karie Rosolowski, Sr. Quality Associate

Caprini Venous Thromboembolism Risk Factor Assessment